Intussusception x ray: Difference between revisions

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** Soft tissue density in right upper quadrant in 25-60% of patients.  
** Soft tissue density in right upper quadrant in 25-60% of patients.  
** Distended loops of bowel with absence of colonic gas (sign of intestinal obstruction).  
** Distended loops of bowel with absence of colonic gas (sign of intestinal obstruction).  
** Target sign -
** Target sign
*** Two concentric radiolucent circles superimposed on the right kidney.   
*** Two concentric radiolucent circles superimposed on the right kidney.   
*** This signifies peritoneal fat around the intussusception.   
*** This signifies peritoneal fat around the intussusception.   
*** A study shows target sign is present in 26% of patients.<ref name="pmid1739006">{{cite journal |vauthors=Ratcliffe JF, Fong S, Cheong I, O'Connell P |title=Plain film diagnosis of intussusception: prevalence of the target sign |journal=AJR Am J Roentgenol |volume=158 |issue=3 |pages=619–21 |year=1992 |pmid=1739006 |doi=10.2214/ajr.158.3.1739006 |url=}}</ref>   
*** A study shows target sign is present in 26% of patients.<ref name="pmid1739006">{{cite journal |vauthors=Ratcliffe JF, Fong S, Cheong I, O'Connell P |title=Plain film diagnosis of intussusception: prevalence of the target sign |journal=AJR Am J Roentgenol |volume=158 |issue=3 |pages=619–21 |year=1992 |pmid=1739006 |doi=10.2214/ajr.158.3.1739006 |url=}}</ref>   
** Crescent sign
*** A soft tissue density projecting into the gas of the large bowel. 
** Concealed liver margin.<ref name="pmid20401973">{{cite journal |vauthors=Saverino BP, Lava C, Lowe LH, Rivard DC |title=Radiographic findings in the diagnosis of pediatric ileocolic intussusception: comparison to a control population |journal=Pediatr Emerg Care |volume=26 |issue=4 |pages=281–4 |year=2010 |pmid=20401973 |doi= |url=}}</ref>   


'''Patient #1'''
'''Patient #1'''

Revision as of 03:39, 13 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

An x-ray may be helpful in the diagnosis of intussusception. Plain x-ray abdomen of patient are done in supine and upright position. Findings on an x-ray suggestive of/diagnostic of intussusception include absence of air in right lower quadrant and right upper quadrant, soft tissue density in right upper quadrant in 25-60% of patients, and normal in 60% of cases.

X Ray Images

Plain film

  • An x-ray may be helpful in the diagnosis of intussusception. Findings on an x-ray suggestive of/diagnostic of intussusception include:
    • Normal in 60% of cases.
    • Absence of air in right lower quadrant and right upper quadrant.
    • Soft tissue density in right upper quadrant in 25-60% of patients.
    • Distended loops of bowel with absence of colonic gas (sign of intestinal obstruction).
    • Target sign
      • Two concentric radiolucent circles superimposed on the right kidney.
      • This signifies peritoneal fat around the intussusception.
      • A study shows target sign is present in 26% of patients.[1]
    • Crescent sign
      • A soft tissue density projecting into the gas of the large bowel.
    • Concealed liver margin.[2]

Patient #1

Direct graphy: Intussusception Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology.


Patient #3

Images courtesy of RadsWiki


References

  1. Ratcliffe JF, Fong S, Cheong I, O'Connell P (1992). "Plain film diagnosis of intussusception: prevalence of the target sign". AJR Am J Roentgenol. 158 (3): 619–21. doi:10.2214/ajr.158.3.1739006. PMID 1739006.
  2. Saverino BP, Lava C, Lowe LH, Rivard DC (2010). "Radiographic findings in the diagnosis of pediatric ileocolic intussusception: comparison to a control population". Pediatr Emerg Care. 26 (4): 281–4. PMID 20401973.

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